Dmv Form Inf 1100 – Fill Out and Use This PDF

The DMV INF 1100 form, titled "Commercial Employer Pull Notice," serves as a critical tool for employers in California to either enroll or delete drivers in relation to their ability to operate commercial vehicles. This form, which must be filled out with utmost accuracy, plays a pivotal role in ensuring the safety and compliance of commercial driving operations within the state. To ensure your fleet complies with California regulations, complete the DMV INF 1100 form by clicking the button below.

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Dmv Form Inf 1100 PDF Details

In the bustling realm of commercial driving and the meticulous oversight required to ensure safety and compliance on the road, the DMV INF 1100 form serves as a pivotal tool for employers within California. This document primarily facilitates the enrollment or deletion of drivers from an employer's roster under the Commercial Employer Pull Notice Program. This program, a public service initiative, aims to bolster road safety by allowing employers to monitor the driving records of their employees who operate vehicles for business purposes. The form succinctly captures essential details such as the employer's current address and contact information, the type of driver's license each employee holds, and specific remarks pertinent to their role or driving requirements. Notably, the form categorizes drivers by the class of license they possess, from Class A to Class C with various endorsements, reflecting the variety of vehicles and cargo they are authorized to handle. The act of enrolling drivers, necessitating a modest fee per individual, is underscored by the legal obligation of the employer to certify, under penalty of perjury, the accuracy of the information and the necessity for enrollment based on specific criteria outlined in California's Vehicle Code. Conversely, deleting drivers incurs no cost, emphasizing the form's flexibility in managing changes within a company's driving staff. Through this intricacy and precision, the DMV INF 1100 form embodies a crucial link in the chain of public safety and legal responsibility for commercial employers in California.

Question	Answer
Form Name	Dmv Form Inf 1100
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	commercial employer pull notice enrollment, dmv pull notice enrollment form, pull notice form, pull program forms

Form Preview Example

	COMMERCIAL EMPLOYER PULL NOTICE
A Public Service Agency	ENROLLMENT OR DELETION OF DRIVERS
A Public Service Agency

		CHECK ONLY ONE PROCESS PER FORM
Please type or print in ink		ENROLL OR	DELETE
Please type or print in ink

Department of Motor Vehicles

Information Services Branch

Employer Pull Notice—H265

P.O. Box 944231

Sacramento, CA 94244-2310

EMPLOYER

CURRENT ADDRESS

CITY

STATE

ZIP CODE

	REQUESTER CODE	DATE

TELEPHONE
(	)	Ext.

CONTACT PERSON’S NAME AND TITLE (FIRST, MI, LAST)

				CLASS LICENSE
A - Class A		B/P - Class B with passengers (Charter-Party)			C/S - Class C with Special Certificates
B - Class B		C/H - Class C with Hazardous Materials Endorsement			C/P - Class C with PUC permit issued


CALIFORNIA DRIVER LICENSE OR			DRIVER’S	CLASS	"REMARKS" FOR YOUR USE
	TEMPORARY "X" NUMBER		LAST NAME ONLY	LICENSE	(LIMIT TO 21 SPACES)

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___________ TOTAL DRIVERS ADDED (A $5 ENROLLMENT FEE FOR EACH DRIVER WILL BE BILLED TO YOUR ABIS ACCOUNT)

___________ TOTAL DRIVERS DELETED (NO FEE)

FOR ENROLLMENT ONLY:

I certify under penalty of perjury, under the laws of the State of California, that driver(s) listed above are (1) mandated for enrollment under California Vehicle Code §1808.1. OR (2) have signed an “Authorization for Release of driver Record Information” form (INF 1101) or internal document with similar language AND are currently in an employer/employee relationship AND frequently drive during the course of their employment.

Executed at __________________________________ , __________________________________ , _________________________

CITY	COUNTY	STATE
Date ___________________ Signature	X

Printed name and title ________________________________________________________________________________________

To obtain additional forms and information please visit our website at: http://www.dmv.ca.gov/otherservice/epn

INF 1100 (REV. 12/2003) WWW

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Step number 1 of filling in commercial employer pull notice enrollment or deletion of drivers

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Part number 2 of completing commercial employer pull notice enrollment or deletion of drivers

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Dmv Form Inf 1100 – Fill Out and Use This PDF

Dmv Form Inf 1100 PDF Details

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